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Texas: Collaboration Documentation Texas doesn’t have obesity-specific prescribing rules, but: NPs must have Prescriptive Authority Agreements that explicitly authorize weight-loss medications Physicians must conduct quality assurance reviews of NP prescribing Both providers must check the Texas PMP (Prescription Monitoring Program) before prescribing controlled substances California, New York, Pennsylvania, Illinois: Less Restrictive These states don’t impose specific clinical protocols for weight-loss prescribing beyond standard of care